Active NPI
Isaac Okechukwu Okoye, R.PH
- Pharmacist
- Pinon, AZ
National Provider Identifier
1114257565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03316871
- Practice address
- Pinon Route 4
At Pinon Pharmacy
Pinon, AZ 85610 - Phone
- (928) 725-9500
- Fax
- (928) 725-9542
- NPI assigned
- Jan 7, 2010
- Last updated
- Jan 7, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03316871 | OH | Primary |
Addresses
Primary practice location
Pinon Route 4
At Pinon Pharmacy
Pinon, AZ 85610
Mailing address
19450 Lorain Rd
Apt # 210W
Fairview Park, OH 44126-1975
Phone (440) 356-1073
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03316871 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262822400000",
"number": "1114257565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19450 LORAIN RD",
"address_2": "APT # 210W",
"city": "FAIRVIEW PARK",
"state": "OH",
"postal_code": "441261975",
"telephone_number": "440-356-1073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PINON ROUTE 4",
"address_2": "AT PINON PHARMACY",
"city": "PINON",
"state": "AZ",
"postal_code": "85610",
"telephone_number": "928-725-9500",
"fax_number": "928-725-9542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKOYE",
"first_name": "ISAAC",
"middle_name": "OKECHUKWU",
"name_prefix": "Mr.",
"credential": "R.PH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-01-07",
"last_updated": "2010-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03316871",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pinon, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.